DR. STELLA MARIE CRUZ CRUZ (NPI# 1235298027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235298027 |
| Entity Type | Individual |
| Full Name | DR. STELLA MARIE CRUZ CRUZ |
| Credential | M.D. |
| Practice Address |
114 Lt Michael Cleary Dr Dallas PA 18612-1649 |
| Mailing Address |
608 Cassandra Dr Cranberry Twp PA 16066-6926 |
| Practice Telephone | 5706752000 |
| Practice Fax Number | 5706751806 |
| Mailing Telephone | 7247424724 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD429903 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
114 LT MICHAEL CLEARY DR |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063472389 | Michael A. Kovalick | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2006-03-23 |
| 1184260184 | Lindsay Theresa Denion | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2019-11-25 |
| 1720623523 | Courtney Mackrell | Nurse Practitioner | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2019-11-15 |
| 1962944041 | Mallory Turner | Physician Assistant | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2016-11-07 |
| 1598113045 | Raymond Alan Besecker | Pharmacist | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2016-05-25 |
| 1609220961 | Kathryn Olivia Gussman | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2016-04-22 |
| 1023407244 | Aimee Detweiler | Nurse Practitioner | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2015-01-12 |
| 1881946770 | Lindsay Margaret Stavish | Physician Assistant | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2012-10-03 |
| 1679820583 | Matthew George Perry | Physician Assistant | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2012-08-09 |
| 1912262759 | Matthew Evan Joseph | Family Medicine | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2012-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982131363 | Julia C Durante | Pediatrics | 2350 N Stemmons Fwy Ste F5200, Dallas, TX 75207-2700 | 2017-05-17 |
| 1891235206 | Jill Whitehurst | Pediatrics | 6436 Glendora Ave, Dallas, TX 75230-5125 | 2017-03-03 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| 1144686601 | Souren Chakmakjian | Pediatrics | 3855 Branchfield Dr, Dallas, TX 75214-2949 | 2016-01-13 |
| 1851756977 | Aaron L. Kreisler, M.d. P.a. | Pediatrics | 1151 N Buckner Blvd # Pb1, Suite 203, Dallas, TX 75218-3426 | 2015-12-16 |
| 1679982540 | Mevelline Lim | Pediatrics | 2350 N Stemmons Fwy Ste 2400, Dallas, TX 75207-2700 | 2014-08-05 |
| 1134549983 | Diana Liz Arriola | Pediatrics | 3434 W Illinois Ave Ste 306-3, Dallas, TX 75211-8709 | 2014-04-20 |
| 1386064269 | Jennifer Nguyen Chew | Pediatrics | 6300 Harry Hines Blvd Ste 101, Dallas, TX 75235-5259 | 2014-04-18 |
| 1215379987 | Colleen D Edge | Pediatrics | 8355 Walnut Hill Ln Ste 105, Dallas, TX 75231-4242 | 2013-07-23 |
| 1083055214 | Richard William Markus | Pediatrics | 7777 Forest Ln Ste B320, Dallas, TX 75230-6820 | 2013-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.